Tikhomirova A S, Kislyakov V A, Baykova I E, Nikitin I G
N.I. Pirogov Russian national research medical University, Ministry of health of Russia, Moscow, Russian.
Higher Medical rehabilitation center, Ministry of health of Russia, Moscow, Russia.
Ter Arkh. 2018 Feb 15;90(2):85-88. doi: 10.26442/terarkh201890285-88.
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease, and its detection in the general population has reached a global scale. Despite the fact that in the early stages the disease is characterized by a relatively mild period, the development during its natural course of nonalcoholic steatohepatitis, cirrhosis and hepatocellular carcinoma causes deterioration of long-term forecast. Growing evidence indicates that NAFLD is a complex, multifaceted etiology, involving many factors, including genetic. In the present review, we focused on the genetic component of NAFLD, namely, the role of the PNPLA3 gene polymorphism in the development and course of the disease, and States its progression, such as non-alcoholic steatohepatitis, liver cirrhosis and hepatocellular carcinoma.
非酒精性脂肪性肝病(NAFLD)是最常见的慢性肝病,其在普通人群中的检出已达到全球范围。尽管在疾病早期其特征为相对较轻的阶段,但在其自然病程中发展为非酒精性脂肪性肝炎、肝硬化和肝细胞癌会导致长期预后恶化。越来越多的证据表明,NAFLD是一种病因复杂、多方面的疾病,涉及许多因素,包括遗传因素。在本综述中,我们重点关注NAFLD的遗传成分,即PNPLA3基因多态性在该疾病发生发展过程中的作用,并阐述其进展情况,如非酒精性脂肪性肝炎、肝硬化和肝细胞癌。